The Yrogerg Medical Group, P.L.L.C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

145009 Issued in NC

Legal business name

THE YROGERG MEDICAL GROUP, P.L.L.C

Practice address

201 E. Livermore Drive Suite #1
Angel Exchange
Pembroke, NC 28372

Phone

(910) 522-7185

Fax

(910) 522-7184

NPI assigned

Oct 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory E. Smith, P.A.

Title

Physician Assistant / Administrativ

Phone

(910) 522-7185

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1407045628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E. LIVERMORE DRIVE SUITE #1",
            "address_2": "ANGEL EXCHANGE",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "28372",
            "telephone_number": "910-522-7185",
            "fax_number": "910-522-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E. LIVERMORE DRIVE SUITE #1",
            "address_2": "ANGEL EXCHANGE",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "28372",
            "telephone_number": "910-522-7185",
            "fax_number": "910-522-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YROGERG MEDICAL GROUP, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT / ADMINISTRATIV",
        "authorized_official_telephone_number": "910-522-7185",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "145009",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103971",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "145009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.